| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76376 |
|
5,316 |
3,381 |
$315K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
726 |
530 |
$240K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,462 |
918 |
$214K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
634 |
485 |
$195K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,263 |
1,536 |
$140K |
| 76830 |
Ultrasound, transvaginal |
1,934 |
1,300 |
$125K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,947 |
1,122 |
$115K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,277 |
1,424 |
$88K |
| 71046 |
Radiologic examination, chest; 2 views |
7,432 |
6,777 |
$71K |
| 36200 |
|
498 |
267 |
$39K |
| 71045 |
Radiologic examination, chest; single view |
5,193 |
4,463 |
$38K |
| 36247 |
|
16 |
12 |
$27K |
| 74018 |
|
3,288 |
2,508 |
$24K |
| 74178 |
|
68 |
59 |
$21K |
| 74021 |
|
1,605 |
1,059 |
$11K |
| 76770 |
|
206 |
131 |
$11K |
| 36246 |
|
17 |
12 |
$9K |
| 10009 |
|
32 |
25 |
$9K |
| 72100 |
|
626 |
545 |
$7K |
| 75827 |
|
107 |
44 |
$6K |
| 75774 |
|
27 |
14 |
$5K |
| 70260 |
|
314 |
279 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
87 |
54 |
$4K |
| 36248 |
|
16 |
12 |
$3K |
| 76377 |
|
114 |
63 |
$3K |
| 75710 |
|
23 |
13 |
$3K |
| 75736 |
|
22 |
12 |
$3K |
| 73620 |
|
246 |
170 |
$2K |
| 77001 |
|
67 |
14 |
$1K |
| 93971 |
|
61 |
15 |
$1K |
| 73560 |
|
116 |
111 |
$1K |
| 74022 |
|
90 |
51 |
$975.83 |
| 70250 |
|
72 |
70 |
$809.64 |
| 72040 |
|
85 |
81 |
$786.34 |
| 75625 |
|
15 |
13 |
$701.98 |
| 73600 |
|
78 |
53 |
$644.76 |
| 76937 |
|
67 |
15 |
$617.03 |
| 73030 |
|
57 |
53 |
$612.54 |
| 36011 |
|
75 |
16 |
$385.61 |
| 36010 |
|
149 |
41 |
$221.53 |
| 70220 |
|
14 |
14 |
$201.27 |
| 70210 |
|
13 |
13 |
$113.90 |
| 36012 |
|
61 |
14 |
$99.85 |